Abstract
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Highlights
Late ischemic compromise of free flaps is a rare occurrence.[1,2,3] Largo et al recently reported a series of presentations with vascular flap complications as outpatients
We present a case of delayed outpatient free flap ischemia due to an avulsed arterial pedicle and discuss the factors that allowed successful salvage in this scenario
Absorbable, haemostatic gelatin sponge was placed between the internal mammary vessels and pleura to prevent further adherence and the flap was reinset over a 15 Blake drain
Summary
Late ischemic compromise of free flaps is a rare occurrence.[1,2,3] Largo et al recently reported a series of presentations with vascular flap complications as outpatients. There were 17 such cases out of 7443 free flap reconstructions in their series (0.002 % incidence) and all patients had complete or partial flap failure despite salvage attempts.
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